NPI | 1417214149 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRY BUTLER Executive Director 703-580-6372 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: VA CO-339-09) |
Enumeration Date | 2012-04-19 |
Last Update Date | 2012-04-19 |